Individual provider Active NPI

Ridhu Chopra Burton, M.D.

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Lansing, MI
National Provider Identifier
1497735310
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
RB049536 Issued in MI
Practice address
4169 Legacy Pkwy
Lansing, MI 48911-4258
Phone
(517) 394-6500
Fax
(517) 393-4202
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X RB049536 MI Primary

Addresses

Primary practice location

4169 Legacy Pkwy
Lansing, MI 48911-4258

Mailing address

4169 Legacy Pkwy
Lansing, MI 48911-4258
Phone (517) 394-6500

Other identifiers 1

IdentifierTypeStateIssuer
4442252MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000781 MI Practitioner - Allergy/Immunology 0840244810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Ridhu C Burton MD PCGroup PAC ID 2365407897, 2 clinicians

Practice addresses (Care Compare)

4169 Legacy Pkwy
Lansing, MI 48911-4200
Phone (517) 394-6500

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RB049536MIMDClinical & Laboratory Immunology (Allergy & Immunology) Physician
4301047536MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ridhu C Burton MD PC Allergy & Immunology CurrentSince Mar 11, 2005 Accepting new patients
Dr. Ridhu C. Burton MD PC Allergy & Immunology Past Accepting new patients

Locations

4169 Legacy Pkwy
#C
Lansing, MI 48911
Phone (517) 394-6500

600 S Capitol Ave
Lansing, MI 48933
Phone (517) 371-1300

4169 Legacy Pkwy
Lansing, MI 48911
Phone (517) 393-4200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1497735310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 LEGACY PKWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114258",
            "telephone_number": "517-394-6500",
            "fax_number": "517-393-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4169 LEGACY PKWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114258",
            "telephone_number": "517-394-6500",
            "fax_number": "517-393-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "RIDHU",
        "middle_name": "CHOPRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "MI",
            "license": "RB049536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4442252",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.